0120
EXAM: Periodic oral eval
0140
Limited oral eval
0150
Comprehensive Oral Eval
0210
FMX: Intraoral complete series
0220
PA: Intraoral Periapical first radiogr img
0230
PA+: Intraoral Periapical each add’l rad img
0272
BW2 - bitewings (2)
0274
BW4 - bitewings 4
0330
PAN: Panoramic Radiographic Image
1110
PROPHY: Prophylaxis - adult
1120
PROCH: Prophylaxis - child
1206
Topical fluoride varnish; therapeutic
1351
SEAL: Sealant - Per Tooth
2330
coma1: Resin Composite - 1 surface, Anterior
2331
coma2: Resin Composite - 2 surfaces, anterior
2332
coma3: Resin composite - 3 surfaces, anterior
2335
coma4: Composite/incisal angle/ or 4+ surfaces
2391
comp1: Resin composite - 1 surface, posterior
2392
comp2: Resin Composite - 2 surfaces, posterior
2393
comp3: Resin Composite - 3 Surfaces, posterior
2394
comp4: Resin Composite - 4+ surfaces, posterior
2644
ONPOR4: Onlay - Porcelain/Ceramic - 4+ Surfaces
2700.01
insert: seat permanent crown
2700.02
crntry: Permanent crown try - in